| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
1,824 |
1,443 |
$65K |
| E0470 |
Rad w/o backup non-inv intfc |
286 |
184 |
$15K |
| E0562 |
Humidifier heated used w pap |
928 |
717 |
$15K |
| A7030 |
Cpap full face mask |
253 |
178 |
$11K |
| A7031 |
Replacement facemask interfa |
366 |
302 |
$9K |
| A4604 |
Tubing with heating element |
317 |
219 |
$5K |
| E1390 |
Oxygen concentrator |
78 |
72 |
$5K |
| A7032 |
Replacement nasal cushion |
127 |
114 |
$4K |
| A7034 |
Nasal application device |
137 |
101 |
$4K |
| A7035 |
Pos airway press headgear |
300 |
215 |
$3K |
| A7038 |
Pos airway pressure filter |
739 |
574 |
$2K |
| A7033 |
Replacement nasal pillows |
55 |
37 |
$770.06 |
| A7037 |
Pos airway pressure tubing |
36 |
30 |
$484.15 |
| A7046 |
Repl water chamber, pap dev |
21 |
15 |
$184.15 |